Abstract
Both anatomy and physiology of the airways are critical for understanding and predicting the dynamics of drug delivery systems that are inhaled. This theme that intimately links the biology of the airways to the response of pulmonary drug delivery systems is present throughout other following chapters in this book. Therefore, it is ideal to introduce these concepts in this chapter by first addressing the lung architecture on the macroscale and how it influences drug delivery. Then, we discuss the microscale interactions between the airway environment and drug delivery system. By discussing the anatomy and physiology at these scales in the direct context of pulmonary drug delivery, we believe this chapter is unique and, hopefully, useful for those seeking the controlled release in the respiratory tract.
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References
Altiere RJ, Tompson DC (2007) Physiology and pharmacology of the airways. In: Hickey AJ (ed) Inhalation aerosols. Informa Healthcare, New York, pp 83–126
Arnold MM, Gorman EM, Schieber LJ, Munson EJ, Berkland C (2007) NanoCipro encapsulation in monodisperse large porous PLGA microparticles. J Control Release 121:100–109
Ayers MM, Jeffery PK (1988) Proliferation adn differentiation in mammalian airway epithelium. Eur Respir J 1(1):58–80
Bai TR (1992) Beta2 adrenergic receptors in asthma: a current perspective. Lung 170:125–141
Ballard ST, Inglis SK (2004) Liquid secretion properties of airway submucosal glands.J Physiol 556(1):1–10
Barnes PJ (1998) Muscarinic receptor subtypes in airways. Respir Immunol 149:201–202
Boat TF, Cheng PW, Leigh MW (1994) Biochemistry of mucus. In: Takishima T, Shimura S (eds) Airway secretion – physiological bases for the control of mucous hypersecretion. Marcel Dekker, New York, pp 217–282
Borgström L, Olsoon B, Thorsson L (2006) Degree of throat deposition can explain the variability in lung deposition of inhaled drugs. J Aerosol Med 19(4):473–483
Carstairs JR, Nimmo AJ, Barnes PJ (1985) Autoradiographic visualization of beta-adrenoceptor subtypes in human lung. Am Rev Respir Dis 132:541–547
Charan NB, Thompson WH, Carvalho P (2007) Functional anatomy of bronchial veins. Pulm Pharmacol Ther 20:100–103
Chediak AD, Wanner A (1990) The circulation of the airways: anatomy, physiology and potential role in drug delivery to the respiratory tract. Adv Drug Deliv Rev 5:11–18
Choi JY, Joo NS, Krouse ME, Wu JV, Robbins RC, Ianowski JP, Hanrahan JW, Wine JJ (2007) Synergistic airway gland mucus secretion in response to vasoactive intestinal peptide and carbachol is lost in cystic fibrosis. J Clin Invest 117(10):3118–3127
Coleridge HM, Coleridge JCG (1994) Neural regulation of bronchial blood flow. Respir Physiol 98:1–13
Crandall ED, Matthay MA (2001) Alveolar epithelial transport: basic science to clinical medicine. Am J Respir Crit Care Med 163:1021–1029
Crapo JD, Young SL, Fram EK, Pinkerton KE, Barry BE, Crapo RO (1983) Morphometric characteristics of cells in the alveolar region of mammalian lungs. Am Rev Respir Dis 128(2):S42–S46
Danahay HJ, Jackson AD (2005) Epithelial mucus-hypersecretion and respiratory disease. Curr Drug Targets Inflamm Allergy 4:651–664
Davidson W, Bai TR (2005) Lung structural changes in chronic obstructive pulmonary diseases. Curr Drug Targets Inflamm Allergy 4(6):643–649
Davis CW, Dickey BF (2008) Regulated airway goblet cell mucin secretion. Annu Rev Physiol 70:487–512
Edwards SF (1986) The theory of macromolecular networks. Biorheology 23:589–603
Ehrhardt C, Forbes B, Kim KJ (2008) In vitro models of the tracheo-bronchial epithelium. In: Ehrhardt C, Kim KJ (eds) Drug absorption studies. Springer, New York, p 235
Ehrhardt C, Laue M, Kim KJ (2008) In vitro models of the alveolar epithelial barrier. In: Ehrhardt C, Kim KJ (eds) Drug absorption studies. Springer, New York, pp 258–282
Ehtezazi T, Saleem I, Shrubb I, Allanson DR, Jenkinson ID, O’Callaghan C (2010) The interaction between teh oropharyngeal geometry and aerosols via pressurised metered dose inhalers. Pharm Res 27:175–186
Esmailpour N, Hogger P, Rohdewald P (1998) Binding kinetics of budesonide to teh human glucocorticoid receptor. Eur J Pharm Sci 6:219–223
Farquhar SL, Fantasia L (2005) Pulmonary anatomy and physiology and the effects of COPD. Home Healthc Nurse 23(3):167–174
Finkbeiner WE (1999) Physiology and pathology of tracheobronchial glands. Respir Physiol 118:77–83
Geiser M, Schurch S, Gehr P (2003) Influence of surface chemistry and topography of particles on their immersion into the lung’s surface-lining layer. J Appl Physiol 94:1793–1801
Gonda I (2003) Targeting by deposition. In: Hickey AJ (ed) Pharmaceutical inhalation aerosol technology. Informa Healthcare, Hoboken, pp 65–87
Hanania NA, Moore RH (2004) Anti-inflammatory activities of B2-Agonists. Curr Drug Targets Inflamm Allergy 3:271–277
Hausdorff WP, Caron MC, Lefkowitz RJ (1990) Turning off the signal: desensitization of β-adrenergic receptor function. FASEB J 4(11):2881–2889
Helms MN, Jaln L, Self JL, Eaton DC (2008) Redox regulation of epithelial sodium channels examined in alveolar type 1 and 2 cells patch-clamped in lung slice tissue. J Biol Chem 283(33):22875–22883
Hickey AJ, Thompson DC (2003) Physiology of the airways. In: Hickey AJ (ed) Pharmaceutical inhalation aerosol technology. Informa Healthcare, Hoboken, pp 1–29
Hochhaus G (2007) Pharmacokinetic and pharmacodynamic properties important for inhaled corticosteroids. Ann Allergy Asthma Immunol 98(Suppl 2):S7–S15
Hofmann W, Morawska L, Bergmann R (2001) Environmental tobacco smoke deposition in the human respiratory tract: Differences between experimental and theoretical approaches. J Aerosol Med 14:317–326
Hofmann W, Asgharian B, Winkler-Heil R (2002) Modeling intersubject variability of particle deposition in human lungs. Aerosol Sci 33:219–235
Horvath G, Wanner A (2006) Inhaled corticosteroids: effects on the airway vasculature in bronchial asthma. Eur Respir J 27(1):172–187
Horvath G, Vasas S, Wanner A (2007) Inhaled corticosteroids reduce asthma-associated airway hyperfusion through genomic and nongenomic mechanisms. Pulm Pharmacol Ther 20:157–162
Isaacs K, Rosati JA, Martonen TB (2004) Mechanisms of particle deposition. In: Ruzer SL, Harley NH (eds) Aerosols handbook: measurement, dosimetry, and health effects. CRC Press, Boca Raton, pp 85–115
Itoh H, Nishino M, Hatabu H (2004) Architecture of the lung: morphology and function.J Thorac Imaging 19(4):221–227
Junginger HE, Verhoef JC (1998) Macromolecules as safe penetration enhancers for hydrophilic drugs – a fiction? Pharm Sci Technol Today 1(9):370–376
Kalin TA, Meliton L, Meliton AY, Zhu X, Whitsett JA, Kalinichenko VV (2008) Pulmonary mastocytosis and enhanced lung inflammation in mice heterozygous null for the Foxf1 gene. Am J Respir Cell Mol Biol 39:390–399
King M, Rubin BK (1994) Rheology of airway mucus. In: Takishima T, Shimura S (eds) Airway secretion – physiological bases for the control of mucous hypersecretion. Marcel Dekker, New York, pp 283–314
Lilly CM (2005) Diversity of asthma: evolving concepts of pathophysiology and lessons from genetics. J Allergy Immunol 115(4):S526–S531
Lippmann M, Yeates DB, Albert RE (1980) Deposition, retention, and clearance of inhaled particles. Br J Ind Med 37:337–362
Luo HY, Liu Y, Yang XL (2007) Particle deposition in obstructed airways. J Biomech 40:3096–3104
Maeyer T, Mullinger B, Sommerer K, Scheuch G, Brand P, Beckmann H, Haussing K, Weber N, Siekmeier R (2003) Pulmonary deposition of monodisperse aerosols in patients with chronic obstructive pulmonary disease. Exp Lung Res 29:475–484
Marfatia S, Donahoe PK, Hendren WH (1975) Effect of dry and humidified gases on the respiratory epithelium in rabbits. J Paediatr Surg 10:583
Massaro GD, Massaro D (1996) Formation of pulmonary alveoli and gas-exchange surface area: Quantitation and Regulation. Annu Rev Physiol 58:73–92
Merrikh AA, Lage JL (2005) The role of red cell movement on alveolar gas diffusion. Materialwiss Werkstofftech 36(10):497–504
Mutlu GM, Adir Y, Jameel M, Akhmedov AT, Welch L, Dumasius V, Meng FJ, Zabner J, Koenig C, Lewis ER, Balagani R, Traver G, Sznajder JI, Factor P (2005) Interdependency of β-adrenergic receptors and CFTR in regulation of alveolar active Na+ transport. Circ Res 96:999–1005
Muttil P, Wang C, Hickey AJ (2009) Inhaled drug delivery for tuberculosis therapy. Pharm Res 26(11):2401–2416
Newman S, Weisz A, Talaee N, Clarke SW (1991) Improvement of drug delivery with a breath actuated pressurized aerosol for patients with poor inhaler technique. Thorax 46(10):712–716
Patton JS (1996) Mechanisms of macromolecule absorption by the lungs. Adv Drug Deliv Rev 19:3–36
Patton JS, Byron PR (2007) Inhaling medicines: delivering drugs to the body through the lungs. Nat Rev 6:67–74
Phipps RJ (1981) The airway mucociliary system. Respir Physiol III 23:215–249
Pump KK (1972) Distribution of bronchial arteries in the human lung. Chest 62:447–451
Read RC, Roberts P, Munro N, Rutman A, Hastie A, Shryock T, Hall R, McDonlad-Gibson W, Lund V, Taylor G, Cole PJ, Wilson R (1992) Effect of Pseudomonas aeruginosa rhamnolipids on mucociliary transport and ciliary beating. J Appl Physiol 72(6):2271–2277
Rhodes CJ, Davidson A, Gibbs SR, Wharton J, Wilkins MR (2009) Therapeutic targets in pulmonary arterial hypertension. Pharmacol Ther 121:69–88
Ridge KM, Olivera WG, Saldias F, Azzam Z, Horowitz S, Rutschman DH, Dumasius V, Factor P, Sznajder JI (2003) Alveolar type 1 cells express the a2 Na, K-ATPase, which contributes to lung liquid clearance. Circ Res 92(4):453–460
Rogers DF (2000) Motor control of airway goblet cells and glands. Respir Physiol 125:129–144
SaldĂas SM, Valvano MA (2009) Interactions of Burkholderia cenocepacia and other Burkholderia cepacia complex bacteria with epithelial and phagocytic cells. Microbiology 155:2809–2817
Saldiva PH, Brentani MM, de Carvalho CR, Auler Junior JO, Calheiros DF, Pacheco MM (1985) Changes in the pulmonary glucocorticoid receptor content in the course of interstitial disease. Chest 88:417–419
Scheuch G, Kohlhaeufl MJ, Brand P, Siekmeier R (2006) Clinical perspectives on pulmonary systemic and macromolecular delivery. Adv Drug Deliv Rev 58:996–1008
Scheuch G, Kohlhaeufl M, Moller W, Brand P, Meyer T, Haussinger K, Sommerer K, Heyder J (2008) Particle clearance from the airways of subjects with bronchial hyperresponsiveness and with chronic obstructive pulmonary disease. Exp Lung Res 34:531–549
Schulz H (1998) Mechanisms and factors affecting intrapulmonary particle deposition: implications for efficient inhalation therapies. Pharm Sci Technol Today 1(8):336–344
Shelly MP, Lloyd GM, Park GR (1988) A review of the mechanisms and methods of humidification of inspired gases. Intensive Care Med 14:1–9
Silveira F, Paterson DL (2005) Pulmonary fungal infections. Curr Opin Pulm Med 11:242–246
Sosnowski TR, Arkadiusz M, Gradon L (2007) Mechanisms of aerosol particle deposition in the oro-pharynx under non-steady airflow. Ann Occup Hygene 51(1):19–25
Sung JC, Garcia-Contreras L, VerBerkmoes JL, Peloquin CA, Elbert KJ, Hickey AJ, Edwards DA (2009) Dry powder nitroimidazopyran antibiotic PA-824 aerosol for inhalation. Antimicrob Agents Chemother 53(4):1338–1343
Svartengren K, Anderson M, Svartengren M, Philipson K, Camner P (1996) Oropharyngeal deposition of 3.5 um particles inhaled through an elongated mouthpiece. Eur Respir J 9:1556–1559
Svartengren M, Svartengren K, Aghaie F, Philipson K, Camner P (1999) Lung deposition and extremely slow inhalations of particles. Limited effect of induced airway obstruction. Exp Lung Res 25:353–366
Tamer MA, Modell JH, Rieffel CN (1970) Hyponatremia secondary to ultrasonic aerosol therapy in the newborn infant. J Pediatr 77(6):1051–1054
Tewes F, Brillault J, Couet W, Oliver JC (2008) Formulation of rifampicin-cyclodextrin complexes for lung nebulization. J Control Release 129:93–99
Thanou MM, Verhoef JC, Romeijn SG, Nagelkerke JF, Merkus FWHM, Junginger HE (1999) Effects of N-trimethylchitosan chloride, a novel absorption enhancer, on Caco-2 intestinal epithelia adn teh ciliary beat frequency of chicken embryo trachea. Int J Pharm 185(1):73–82
Thomas CF, Limper AH (2004) Pneumoncystis pneumonia. N Engl J Med 350:2487–2498
Tolman JA, Nelson NA, Son YJ, Bosselmann S, Wiederhold NP, Peters JI, McConville JT, Williams RO (2009) Characterization and pharmacokinetic analysis of aerosolized aqueous voriconazole solution. Eur J Pharm Biopharm 72:199–205
Tsujino I, Kawakami Y, Kaneko A (2005) Comparative simulation of gas transport in airway models of rat, dog, and human. Inhal Toxicol 17:475–485
Voynow JA, Rubin BK (2009) Mucins, mucus, and sputum. Chest 135(2):505
Wangensteen OD, Schneider LA, Fahrenkrug SC, Brottman GM, Maynard RC (1993) Tracheal epithelial permeability to nonelectrolytes: species differences. J Appl Physiol 75:1009–1018
White DP (2006) The pathogenesis of obstructive sleep apnea: advances in the past 100 years. Am J Respir Cell Mol Biol 34:1–6
Widdicombe JG, Webber SE (1990) Airway mucus secretion. News Physiol Sci 5:2–5
Wilson SM, Shen P, Rider CF, Traves SL, Proud D, Newton R, Giembycz MA (2009) Selective prostacyclin receptor agonism augments glucocorticoid-induced gene expression in human bronchial epithelial cells. J Immunol 183:6788–6799
Yang W, Peters JI, Williams RO (2008) Inhaled nanoparticles – a current review. Int J Pharm 356:239–247
Young PM, Traini D, Stephen E (2008) Advances in pulmonary therapy. In: Williams RO, Taft DR, McConville JT (eds) Advanced drug formulation design to optimize therapeutic outcomes. Informa Healthcare, New York, pp 1–52
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O’Donnell, K.P., Smyth, H.D.C. (2011). Macro- and Microstructure of the Airways for Drug Delivery. In: Smyth, H., Hickey, A. (eds) Controlled Pulmonary Drug Delivery. Advances in Delivery Science and Technology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9745-6_1
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DOI: https://doi.org/10.1007/978-1-4419-9745-6_1
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